Individual
DEEPTHI PANJAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
G3230 BEECHER RD, SUITE 2, FLINT, MI 48532-3604
(810) 342-5800
(810) 342-5810
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-2000
(810) 342-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301094053
MI
207R00000X
Internal Medicine Physician
Primary
45620
KY
Other
Enumeration date
08/17/2009
Last updated
10/17/2013
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